Post-Surgery Complications of Rectal Hemorrhoids - Surgery

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Inflammation and swelling of rectal hemorrhoids?


On November 3, 2015, I had surgery to remove inflamed and swollen internal hemorrhoids as recommended by a physician at Kaohsiung Veterans General Hospital.
It has been 4 months since the surgery.
Last week, I visited a general clinic and consulted a proctologist who performed a digital rectal examination.
The doctor mentioned that there is a small protrusion at the surgical site.
Is this normal, and is there a risk of re-inflammation?

KEVIN, 30~39 year old female. Ask Date: 2016/03/01

Dr. Ke Fangxu reply Surgery


After surgery, it is inevitable that scar tissue will form, which may be the cause of small protrusions.
As long as there is no pain or discomfort, there is no need for a second surgery.
Whether there will be a recurrence of inflammation depends on the nature of the protrusion, and this question can likely only be answered by the examining physician.

Reply Date: 2016/03/01

More Info


After undergoing surgery for rectal hemorrhoids, it's not uncommon to experience a range of post-operative complications, including pain, swelling, and even the formation of small protrusions at the surgical site. In your case, having had surgery four months ago and now noticing a small protrusion at the surgical site warrants careful consideration.


Understanding Post-Surgery Complications
1. Normal Healing Process: After hemorrhoid surgery, the healing process can vary significantly from person to person. It's typical for the surgical site to undergo changes as it heals. The presence of a small protrusion could be a part of the normal healing process, such as scar tissue formation or residual tissue from the hemorrhoid itself.
2. Potential for Infection or Inflammation: While some swelling and changes are expected, any new or worsening symptoms, such as increased redness, warmth, or discharge from the site, could indicate an infection or inflammation. If the protrusion is accompanied by pain or other concerning symptoms, it would be prudent to consult your healthcare provider for further evaluation.

3. Recurrence of Symptoms: The concern about a second episode of inflammation is valid. Hemorrhoids can recur, especially if risk factors such as constipation, straining during bowel movements, or prolonged sitting on the toilet are present. Maintaining a high-fiber diet, staying hydrated, and practicing good bowel habits can help mitigate these risks.

4. Follow-Up Care: Regular follow-up with your healthcare provider is essential after any surgical procedure. If your doctor has expressed concern about the protrusion or if you have any symptoms that worry you, it would be wise to schedule a follow-up appointment. They may perform a physical examination or recommend imaging studies if necessary to assess the situation further.

5. Management Options: Depending on the findings, your doctor may suggest various management options. If the protrusion is benign and part of the healing process, they may recommend conservative management, including sitz baths, topical treatments, or pain management strategies. If there is evidence of recurrence or complications, further interventions may be necessary.


Conclusion
In summary, while a small protrusion at the surgical site four months post-operation could be a normal part of the healing process, it is essential to monitor for any signs of infection or recurrence of symptoms. Regular follow-up with your healthcare provider is crucial to ensure proper healing and to address any concerns promptly. If you experience any new symptoms or if the protrusion changes in size or appearance, do not hesitate to seek medical advice. Your health and comfort should always be a priority, and proactive management can help prevent further complications.

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